Inu kapena munthu amene mumamudziwa komanso kumukonda muyenera kuti munamva mantha pang'ono komanso katundu wolemera mumtima mwanu pamene dokotala anakuuzani za opaleshoni yamtunduwu, sichoncho? Ndizachilendo kukhala ndi mantha mukamva dzina lalikulu ngati "Laparoscopic Abdominoperineal Resection." Koma musachite mantha. Lero, tikambirana za mtundu wa opaleshoni iyi, chifukwa chake imachitidwa, komanso zomwe zimachitika pambuyo pa opaleshoniyi m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi opaleshoni iyi ndi chiyani?
Iyi ndi opaleshoni yomwe imachitidwa ndi dokotala wa opaleshoni. Anus yanu, rectum, ndi gawo la pansi la matumbo anu akuluakulu (sigmoid colon) zimachotsedwa. Opaleshoni iyi imachitika kudzera m'mabowo ang'onoang'ono angapo m'mimba mwanu, osati kudzera mu kudula kwakukulu. Njirayi imatchedwa laparoscopy kapena "keyhole surgery."
Opaleshoni iyi nthawi zambiri imalimbikitsidwa ngati khansa ili mkati mwa rectum kapena pafupi ndi anus. Opaleshoni iyi ndi yofunika kwambiri ngati khansa ili pafupi kwambiri ndi minofu ya sphincter yomwe imayang'anira kuyenda kwa ndowe, chifukwa opaleshoniyi ndi yofunika kuchotsa maselo a khansa pamodzi ndi minofuyo.
Chofunika kwambiri ndi kuchotsa khansa yonse m'thupi. Opaleshoni iyi imachita zimenezo.
Mu opaleshoni iyi, pali mpata watsopano woti zinyalala (ndowe) zituluke m'thupi lanu. Izi zimatchedwa stoma . Stoma iyi ili pakhungu la mimba yanu. Ndi kudzera mu izi kuti matumbo akulu amalumikizana. Madokotala amatchanso njirayi kuti "colostomy."
Kodi stoma ndi chiyani? Kodi ndiyenera kuiopa?
Ayi konse. Stoma ndi gawo lofunika kwambiri pa opaleshoni yanu yopulumutsa moyo. Taganizirani izi motere, monga momwe zimakhalira ndi m'matako mwathu, iyi ndi njira yatsopano yotulutsira zinyalala.
Koma pali kusiyana kumodzi. Stoma ilibe minofu ya sphincter yomwe imalamulira kuyenda kwa ndowe, monga yomwe ili mu anus yathu. Chifukwa chake, sitingathe kulamulira kuyenda kwa ndowe nthawi iliyonse yomwe tikufuna. Pachifukwa ichi, tifunika kuvala thumba lapadera (thumba) kuti titenge zinyalala zomwe zimatuluka.
Zingamveke zachilendo pang'ono kuzolowera izi poyamba. Koma pakapita nthawi, zidzakhala zachizolowezi m'moyo wanu. Pofuna kukuthandizani ndi izi, pali ogwira ntchito yosamalira ana omwe aphunzitsidwa mwapadera pa izi. Adzakuphunzitsani chilichonse.
Momwe opaleshoni imachitikira sitepe ndi sitepe
Ndizachibadwa kukhala ndi mantha mukaganizira za opaleshoni yaikulu yotereyi. Koma mukamvetsetsa momwe imachitikira, mantha anu adzachepa kwambiri.
| Gawo la Opaleshoni | Zomwe zimachitika |
|---|---|
| 1. Mankhwala oletsa ululu | Choyamba, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti simudzamva chilichonse mpaka opaleshoniyo itatha, ndipo mudzakhala mutulo tofa nato. |
| 2. Kuyambitsa laparoscopy | Mukakhala mukugona, dokotalayo amadula pang'ono (pafupifupi 1/2 inchi) pafupi ndi chifuwa chanu cha m'mimba ndikuyika chida chaching'ono chonga kamera (laparoscope). Kamera iyi imakulolani kuwona mkati mwa mimba yanu. Kenako, mabowo ang'onoang'ono pafupifupi 4 kapena 5 amapangidwa m'mimba mwanu kuti aikemo zida zofunika pochita opaleshoniyi. |
| 3. Kukonzekera kuchotsa matumbo | Mitsempha ikuluikulu yamagazi yomwe imapereka magazi ku gawo la m'matumbo lomwe liyenera kuchotsedwa imadulidwa ndi kutsekedwa. Kenako, gawo la m'matumbo lomwe liyenera kuchotsedwa (sigmoid colon) limatulutsidwa ku minofu yozungulira ndikulekanitsidwa ndi matumbo akulu otsala. Rectum imatulutsidwanso ku minofu yozungulira mwanjira yomweyo. |
| 4. Kuchotsa mphuno | Pambuyo poti zigawo za m'mimba zatulutsidwa, membala wina wa gulu la opaleshoni adzachita opaleshoni m'dera lomwe lili pakati pa miyendo yanu (dera la perineal) ndikuchotsa kwathunthu anus, rectum, ndi gawo lokhudzidwa la m'matumbo. |
| 5. Kulengedwa kwa Stoma | Pambuyo pochotsa minofu ya khansa, dokotalayo amapanga stoma kudzera m'kabowo kakang'ono komwe kanapangidwa kale. Izi nthawi zambiri zimapangidwa kumbali yakumanzere ya mimba. Malekezero otsala a m'matumbo amatulutsidwa kudzera m'bowo, olumikizidwa ndi khungu, ndikusokedwa. |
| 6. Kumaliza opaleshoni | Pomaliza, m'mimba (mkati mwa mimba) mumatsukidwa bwino, ndipo chubu chaching'ono chotulutsira madzi chimayikidwa kuti chitulutse madzi osafunikira omwe angakhale atasonkhana mkati. Izi zimathandiza kuti bala lipole msanga. Kenako, mabala ena m'mimba amasokedwa. |
Kodi mungayembekezere chiyani panthawi yochira?
Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo, nthawi zambiri pafupifupi sabata imodzi. Panthawiyi, madokotala ndi anamwino adzakusamalirani bwino.
Kodi chimachitika ndi chiyani kuchipatala?
Mukadzuka mutachita opaleshoni, thumba lidzamangiriridwa ku stoma yanu kuti lisonkhanitse zinyalala. Zimatenga masiku angapo kuti kugaya chakudya chanu, kapena matumbo, kuyambe kugwira ntchito. Mukamaliza, mudzapatsidwa zakumwa zoti mumwe poyamba . Pamene mukuchira pang'onopang'ono, mutha kuyamba kudya zakudya zolimba nthawi zonse .
Kuphunzira kusamalira stoma yanu
Iyi ndi gawo lofunika kwambiri. Mukakhala kuchipatala, namwino yemwe waphunzitsidwa bwino za chisamaliro cha stoma (Enterostomal Therapist kapena ET namwino) adzakuthandizani.
- Adzakusonyezani momwe mungasinthire thumba lanu la stoma.
- Zimakuphunzitsani momwe mungasungire khungu lozungulira stoma kukhala loyera komanso lathanzi.
- Mukapita kunyumba, mudzaphunzira momwe mungachitire zinthuzi nokha.
Kukhala ndi colostomy yokhazikika ndi kusintha kwakukulu. Dzipatseni nthawi yoti muzolowere. Musadandaule ndi chilichonse. Namwino wanu wa ET ndiye munthu wabwino kwambiri woti mufunse mafunso aliwonse omwe mungakhale nawo ndikupeza thandizo kwa iye.
Ngati muli ndi nkhawa kapena mafunso nthawi iliyonse, musaope kulankhula ndi dokotala wanu kapena namwino wa ET . Iwo alipo kuti akuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni iyi (Laparoscopic Abdominoperineal Resection) ndi opaleshoni yaikulu yomwe ingapulumutse moyo wa khansa ya m'matumbo.
- Popeza izi zimachitika pogwiritsa ntchito njira ya "keyhole" (Laparoscopy), palibe mabala akuluakulu, kotero nthawi yochira imakhala yachangu.
- Mukamaliza opaleshoni, muyenera kugwiritsa ntchito thumba lokhazikika m'mimba mwanu (stoma) kuti zinyalala zituluke komanso thumba (thumba) loti musonkhanitse zinyalala.
- Ngakhale kuphunzira kusamalira stoma kungakhale kovuta poyamba, kungatheke mosavuta ndi thandizo la anamwino ophunzitsidwa bwino.
- Uku ndi kusintha kwakukulu, mwakuthupi komanso m'maganizo. Choncho khalani omasuka komanso oona mtima kwa madokotala anu, anamwino, ndi abale anu omwe alipo kuti akuthandizeni. Simuli nokha.
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